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Nurse Pays For Her Good Deed

Nurse Pays For Her Good Deed

Donn Esmonde / The Buffalo News

October 31, 2008

They ought to give her a medal. Instead, she got misused. If this is how they run the show at the Erie County Home in Alden, somebody ought to be shown the door.

Joyce Diasparra was driving home two weeks ago after a tough shift. Diasparra is head nurse of Unit S, a wing with about 50 patients. She had worked until 8 p.m. — five hours after her regular shift ended. She had just left when, through the darkness, she saw him, walking on Walden Avenue: a patient who was brought to the County Home after trying to kill his wife. He had sneaked out and climbed a fence.

Diasparra did not have a cell phone to call for help. She did not want to deal alone with a potentially violent man. Concerned about the safety of the patient and for anyone he encountered, she drove back to the nursing home to get help. She found a security guard, who jumped in her vehicle. They drove back, got the man into her SUV and brought him back safely.

Diasparra is 56, with a full, friendly face and a nurse’s bedside manner. She got pats on the back from co-workers the next day for handling a tough situation.

The glow lasted until she was called in Oct. 22 by the County Home’s director of nursing. Diasparra was reprimanded and suspended for a day without pay. According to the Disciplinary Action Report, she made a mistake by leaving the man on the road to go back for help. She should have, according to the nursing director, put him in the vehicle and brought him back on her own.

Diasparra was dumbfounded. “With [the patient] being possibly unstable, I didn’t trust that I would be able to get him in my truck and back safely,” she said this week in the dining room of her tidy home in Lancaster. “I didn’t want to endanger his life, or mine.”

It is more than a week since the suspension. Diasparra still is upset.

“I feel like I was treated unfairly,” she said. “I don’t know how else I could have handled it.”

It sounds to me as if she did the right thing. Backing her up is the security guard, Dave Bubar. “It would not have been wise for her to deal with [the patient] on her own,” he said. “I had trouble getting the guy into the car, and I’m a big boy.”

Diasparra has worked at the County Home for 15 years. She is a former Employee of the Year. The incident, in fact, underlines her dedication. She was off duty. She could have seen the patient on the road and ignored him. She could have gone back to the County Home and sounded the alarm, but stayed behind and let security deal with him. Instead, she went back with the guard and helped secure a potentially dangerous patient. For that, she was punished.

County Home spokesman Tom Quatroche said that there is more to the story but that he “could not provide further details” on a personnel matter. The suspension report notes that the patient was “upset” during the day and blames Diasparra for not dealing with him in a better way. Yet she alerted the nurses on the incoming shift and noted his agitation in the log book.

There are by-the-book regulations that might not have been followed to the letter. But in the big picture, Diasparra went above and beyond. For her trouble, she lost a day’s pay and got chewed out by her boss. She will likely retire rather than go back to work for the same supervisor who suspended her.

Diasparra learned a lesson: No good deed goes unpunished.

I hope it is a lesson that, the next time something like this comes up, she remembers to forget.

© YellowBrix 2008


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  • Photo_user_blank_big

    Pohattensis

    about 1 year ago

    2 comments

    Sounds like the County Home is trying to save their behinds and not the nurse. Backstabbing if I ever saw it!! Low down dirty dogs. Call it what it is.

  • Rn_max50

    AbusyRN2go

    about 1 year ago

    12110 comments

    I agree she should file a suit to recover the pay she lost and more for the upset and stress she went through, jerks!

  • Eve-possess_me_max50

    eve_48yo

    about 1 year ago

    2 comments

    She should sue the facility that suspended her. I would like to know where that regulation exists. It sounds made up to me. Any health care worker knows that if there is a potentially harmful client and you or another is in immediate danger, get help now. She could have been killed herself if she would have tried to force a dangerous man into her car. I suggest she get a lawyer and take those uncaring, non-supporting nurse mangers to court. They are a disgrace to nursing and nurses like them are what bring our nursing industry down. Get rid of them.

  • 100_1796_max50

    peaches22

    about 1 year ago

    54 comments

    This is a horrible situation. She did a great dead in fact by possibly saving his wifes life as well as his and this is how she gets repaid. WOW is all I can say about that. They say they are looking for nurses who generally love their job and is passionate about it but here we have someone who obviously loves her work and this is how she gets repaid?

  • Mommy_max50

    Victoria_simon

    about 1 year ago

    590 comments

    This case is just one among many why many nurses are getting out of the profession. The caring aspect is gradually going through the door while policies take over. I see that Nursing will continue to be in great demand for a very long time.One member summed it up just right You damned if you do and damned if you don't.

  • 243_max50

    melissa370

    about 1 year ago

    6 comments

    I can not believe this article! I am outraged! She was overworked and trying to go home, she took her time and gas to get help. She used her critical thinking skills to provide safety for her and the client. She needs to be given a paid week off and a cell phone from the facility in case this happens again.

    Filagator, I agree with several of your statements, however she may have not been responsible for the patient at the time he escaped and truly we will never know the real story unless the patients files are released and all the paperwork for the suspension is released. I still hold the opinion that good deeds should be rewarded. She could have went home and overlooked it completly but, she did not. Filagator Great Post! thanks for pointing out the obvious. I also do not own a cell phone that to me is a nonessential expense.

  • Photo_user_blank_big

    filagator

    about 1 year ago

    8 comments

    This will probably make some people mad but a couple of things bother me about this situation. First, why wasn't the pt. noted to not be on the premises? Which brings up several other obvious points such as with his hx he should have had an alarm on him somewhere, how did he get out of the facility without being noticed, who doesn't have a cell phone, most policies state if a pt. leaves the premises without approval or supervision (having been signed out) then the Police are to be involved. I do applaud the fact that she was willing to go above and beyond the call of duty but our personal safety whether as a nurse or as a human being should be paramount. Rules and Regulations are there to protect everyone involved and should be followed. I suspect that the facility in question may be concerned about the State investigating them and possibly being reprimanded had they not taken the steps that they had. It is true 'No good deed goes unpunished' most of the time but there are exceptions. In the above article it states that the pt had a personal beef with this same nurse who reported his agitation and combativeness to the oncoming shift. If it had been me and I was in the same situation I would have probably stopped and called the facility, notify the Administrator and DON, then called the police to escort this gentleman back to his abode. The fact that she and the security guard took matters into their own hands set the stage for a potential lawsuit had something gone wrong. I do not want to discourage anyone from going above and beyond the call of duty but common sense has to prevail and policies have to be followed. As a nurse of 15+ years I know we can't save everyone although we all would like to but as an intelligent person I know I can't help someone if I place myself in the position that risks my well being. Let the knives start flying. . . .

  • Photo_user_blank_big

    OldSchoolGuy

    about 1 year ago

    2 comments

    This lady did the right thing. Like most bureaucrats, the person who issued the suspension has NO common sense or understanding of the real world. It would have been extremely foolish for the nurse to have attempted to handle this man alone. Next time, she should follow the man in her vehicle while she calls this IDIOT who decided to suspend her and let HIM deal with the patient. After all, he knows the rules AND has the answer to every situation.
    Great job, Ms. Diasparra. We need more professionals like you in the world.

  • Photo_user_blank_big

    ongej

    about 1 year ago

    2 comments

    After 30 plus years of nursing, I have come to the conclusion that upper management had a very different perspective which has often baffled me. I say this even with years of middle management experience including being a Director of Nursing several times. I have acquired a much clearer picture in the past 3 years after transferring as a nurse manager to a small sister rural hospital. For the past year, I have worked on the floor with my nurses covering vacant positions. My position " Damned if you do or Damned if you don't " consistently comes up.
    I realize there was more to this situation than we know, however I believe situations such as with nurse in this story there is always an opportunity for someone to have their own ideas/agenda where the person did not perform as they think the employee should. The nurse used her critical thinking and made a decision to act as she did. The outcome met the goal ," Get the patient back to the facility safely". She should be commended for her actions. If she had placed the patient in her car she probably would be hearing she had violated a policy regarding the liability of using her personal vehicle to transport a patient. Had she had an accident on the way back ,I do not believe the facility administration would be backing her for the decison to transport the patient herself. In addition, more than likely, her auto insurance company would clearly and quickly point out use of her private auto was not covered for the facility business especially since she was off the clock and if a company policy prohibited use of private vehicles for patient transport.

    It would be interesting to know who else was involved in reviewing the incident and determining the employee desciplinary action . Usually there are other administrative or human resource personnel involved.

  • Photo_user_blank_big

    nurse1986

    about 1 year ago

    6 comments

    This nurse did the right thing by getting a security guard to help bring the patient back. Period!The person who suspended her should have been the one who brought the patient back alone in her vehicle.

  • Photo_user_blank_big

    vinnigirl

    about 1 year ago

    20 comments

    That is outrageous but it happens all the time. People are too sheeple in their behavior. I was a nurse for 20 years and I was good but because of similar circumstances I ended up working in a medical non-nursing field. That is a shame. And the nurse in this article, age 56, will probably do exactly that. What has happened to professional courtesy and respect? I think it has been replaced by the almighty dollar and the short lived power it brings to some people.
    vinnigirl

  • Photo_user_blank_big

    msrobinrn61

    about 1 year ago

    2 comments

    kudos to diasparra. this is what being a good nurse has come to, this is terrible.

  • Photo_user_blank_big

    Tammyanderson

    about 1 year ago

    2 comments

    Sometimes management are so involved in there own drama's, they loose sight of the big picture and try to make a big deal out of somethings that should be overlooked. Was that situation covered specifically in a policy or was it the way that manager understood a simple policy. How dare that management team to expect that nurse to endanger her own life. Come on?! Where are our priorities? I wonder what kind of stuff is overlooked at that place.

  • 5-28-08_001_max50

    knight61904

    about 1 year ago

    4 comments

    You got it going on junebaby6662. I am a disabled nurse, due to the fact I was injured by 2 different patients in 2 different years. I kept trying to go back to work, and finally my doctors said no more. So I can relate to this personally. It broke my heart, the day I had to put my nursing license on the inactive list. After 18 years in long term care facilities, I felt like my lifeline had been broken. I commend this nurse, and I do feel that the DON and the spokesperson should be reprimanded.

  • Photo_user_blank_big

    junebaby6662

    about 1 year ago

    26 comments

    If she would have stopped and try to get the patient in the car by herself she could possibly get hurt or even killed then the patient would have an get away car and probably go and try to kill his wife again or someone else. Diasparra did the right thing. She is an hero in this situation.The DON needs to lose her job because she seems to care little about anything or anyone and the county home spokesman Tom Quatroche said that there is more to this story but that he could not provide further details on a personnel matter well this sound like bull to me, this is what he get paid to say , try to make the company faultless when in fact an injustice was done to an very good nurse.


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